exam 2 random questions Flashcards
A nurse is preparing a client who is scheduled for an intravenous pyelogram (IVP). Which of the following findings should the nurse report to the provider?
A. Allergy to egg products
B. Vomiting and diarrhea for the last 6 hr
C. Serum potassium of 3.6 mEq/L
D. Serum creatinine of 1.2 mg/dL
Vomiting and diarrhea for the last 6 hr (depletes fluid volume)
A nurse is teaching a client who has chronic kidney disease (CKD). Which of the following instructions should the nurse include?
A. Limit fluid intake
B. Limit caloric intake
C. Eat a diet high in phosphorus
D. Eat a diet high in protein
A. Limit fluid intake (prevent hypervolemia)
A nurse is caring for a client who is in the oliguric-anuric stage of acute kidney injury. The client reports diarrhea, a dull headache, palpitations, and muscle tingling and weakness. Which of the following actions should the nurse take first?
A. Administer an analgesic to the client
B. Check the client’s electrolyte values
C. Measure the client’s weight
D. Restrict the client’s protein intake
B. Check the client’s electrolyte values
A nurse is preparing an in-service program about the stages of acute kidney injury (AKI). Which of the following pieces of information should the nurse include about prerenal azotemia?
A. Prerenal azotemia begins prior to the onset of symptoms.
B. Interference with renal perfusion causes prerenal azotemia.
C. Prerenal azotemia is irreversible, even in the early stages.
D. Infections and tumors cause prerenal azotemia.
B. Interference with renal perfusion causes prerenal azotemia.
A nurse is providing teaching to a client who has stomatitis due to chemotherapy and radiation therapy. Which of the following statements by the client indicates a need for further teaching? A. “I will use a soft toothbrush or foam swab for oral care.”
B. “I will use lemon and glycerin swabs after meals.”
C. “I will remove my dentures except while eating.”
D. “I will rinse my mouth frequently with hydrogen peroxide solution.”
B. “I will use lemon and glycerin swabs after meals.”
what should chemo pt with stomatitis use for oral care?
soft toothbrush or foam swab
what should chemo pt with stomatitis rinse their mouth with
hydrogen peroxide solution
A nurse is teaching a client how to perform a breast self-examination (BSE). The nurse should identify which of the following findings as an indication of breast cancer?
A. Lumps that are mobile and tender on palpation prior to a menstrual period
B. Multiple round masses that are tender and found in both breasts
C. Bilaterally darkened areolas
D. A nontender, hard lump that is palpated in a breast
D. A nontender, hard lump that is palpated in a breast
A nurse is providing dietary teaching a client who has late-stage chronic kidney disease (CKD). Which of the following nutrients should the nurse instruct the client to increase in her diet?
A. Calcium
B. Phosphorous
C. Potassium
D. Sodium
A. Calcium (prevent hypocalcemia)
Common sites of breast cancer metastasis
bones
lungs
brain
liver
A client who has acute pyelonephritis should drink at least how many ml/day
2000 ml
what urine symptom is expected after a TURP (transurethral resection of the prostate)
pink tinged urine
what type of incontinence is expected after a TURP?
stress incontinence
are dysuria and urinary frequency expected after a TURP?
yes
when should urinary collection pouch be changed?
early in the morning (urine output is reduced)
A nurse is providing teaching to a client who is preoperative for a renal biopsy. Which of the following statements should the nurse make?
A. “You will be NPO for 8 hr following the procedure.”
B. “An allergy to shellfish is a contraindication to this procedure.”
C. “You will need to be on bed rest following the procedure.”
D. “A creatinine clearance is needed prior to the procedure.”
C. “You will need to be on bed rest following the procedure.” (reduce bleeding risk)
A nurse is assessing a client who has urolithiasis and reports pain in his thigh. This finding indicates the stone is in which of the following structures?
A. Ureter
B. Bladder
C. Renal pelvis
D. Renal tubules
A. Ureter
brachytherapy treats what kind of cancer?
uterine cancer
how is brachytherapy performed?
radioactive infusion into/near tumor
A nurse is caring for a client who had a nephrostomy tube inserted 8 hours ago. Which of the following actions should the nurse include in the client’s plan of care?
A. Flush the nephrostomy tube every 4 hours with sterile water.
B. Clamp the nephrostomy tube intermittently to establish continence.
C. Check the skin at the nephrostomy site for irritation from urine leakage.
D. Monitor for and report any blood-tinged drainage to the provider immediately.
C. Check the skin at the nephrostomy site for irritation from urine leakage.
should a nephrostomy tube be regularly irrigated
no
should you ever clamp a nephrostomy tube
no
is blood tinged urination expected following nephrostomy tube insertion?
yes
what is effluent?
discharge of waste products
A nurse is assessing a client who is receiving peritoneal dialysis. Which of the following findings should the nurse report to the provider immediately?
A. Difficulty draining the effluent
B. Redness at the access site
C. Fluid flowing from the catheter site
D. Cloudy effluent
D. Cloudy effluent (sign of peritonitis)
what is the daily allowance of dietary calcium?
1000 mg
A nurse is checking the laboratory values of a client who has chronic kidney disease. The nurse should expect elevations in which of the following values?
A. Potassium and magnesium
B. Calcium and bicarbonate
C. Hemoglobin and hematocrit
D. Arterial pH and PaCO2 Check Answer Question Feedback Close Explanation
A. Potassium and magnesium
is increased breast density a risk for breast cancer?
yes
is postmenopausal obesity a risk for breast cancer?
yes
is hormone replacement therapy a risk for breast cancer?
yes
how often should intermittent self catherization be performed
every 2-3 hrs
how often should jp drains be emptied daily
twice
shoudl a pt w jp drain take a shower
no take baths
what age should mammograms start
40
what age should self breast exams start
20
A nurse is assessing a client who is receiving continuous ambulatory peritoneal dialysis. Which of the following findings should the nurse report to the provider?
A. WBC 6,000/mm^3
B. Potassium 3.0 mEq/L
C. Clear, pale yellow drainage
D. Report of abdominal fullness
B. Potassium 3.0 mEq/L (hypokalemia, arrythmia)
